Alveolar Cleft Reconstruction

  • Chapter
  • First Online:
Peterson’s Principles of Oral and Maxillofacial Surgery
  • 4092 Accesses

Abstract

Bone grafting of the clefted alveolus is indicated to main the transverse dimension of the maxillary alveolar ridge, to give support to the nasal ala, and to provide a healthy periodontium for natural dental eruption or a dental implant. Significant considerations in the management of the patient with a clefted alveolus include timing of the graft, graft sources, and various orthodontic concerns.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 181.89
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 165.84
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 235.39
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Santiago PE, Grayson BH, Cutting CB, et al. Reduced need for alveolar bone grafting by pre-surgical orthopedics and primary gingivoperiosteoplasty. Cleft Palate Craniofac J. 1998;35:77–80.

    CAS  PubMed  Google Scholar 

  2. Horswell BB, Henderson JM. Secondary osteoplasty of the alveolar cleft defect. J Oral Maxillofac Surg. 2003;61:1082–90.

    PubMed  Google Scholar 

  3. Kalaaji A, Lilja J, Friede H. Bone grafting at the stage of mixed and permanent dentition in patients with clefts of the lip and primary palate. Plast Reconstr Surg. 1994;93:690–6.

    CAS  PubMed  Google Scholar 

  4. Teja A, Persson R, Omnell ML. Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts. Cleft Palate Craniofac J. 1992;29:357–62.

    CAS  PubMed  Google Scholar 

  5. Bureau S, Penko M, McFadden L. Speech outcome after closure of oronasal fistulas with bone grafts. J Oral Maxillofac Surg. 2001;59:1408–13.

    CAS  PubMed  Google Scholar 

  6. Bergland O, Semb G, Abyholm RD. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J. 1986;23:175–205.

    CAS  PubMed  Google Scholar 

  7. Hynes PJ, Earley MJ. Assessment of secondary alveolar bone grafting using a modification of the Bergland grading system. Br J Plast Surg. 2003;56:630–6.

    CAS  PubMed  Google Scholar 

  8. Dado DV, Rosenstein SW, Adler ME, Kernahan DA. Long term assessment of early alveolar bone grafts using three-dimensional computer assisted tomography: a pilot study. Plast Reconstr Surg. 1997;99:1840–5.

    CAS  PubMed  Google Scholar 

  9. Alonso N, Tanikawa D, Freitas R, et al. Evaluation of maxillary alveolar reconstruction using a resorbable collagen sponge with recombinant human bone morphogenetic protein-2 in cleft lip and palate patients. Tissue Eng Part C Methods. 2010;16:1183–9.

    CAS  PubMed  Google Scholar 

  10. Fallucco MA, Carstens MH. Primary reconstruction of alveolar clefts using recombinant human bone morphogenic protein-2: clinical and radiographic outcomes. J Craniofac Surg. 2009;20:1759–64.

    PubMed  Google Scholar 

  11. Herford A. Bone morphogenetic protein-induced repair of the premaxillary cleft. J Oral Maxillofac Surg. 2007;65:2136–41.

    PubMed  Google Scholar 

  12. Kuijpers MAR, Chiu Y-T, Nada RM, Carels CEL, Rudalej PS. Three-dimensional imaging methods for quantitative analysis of facial soft tissues and skeletal morphology in patients with orofacial clefts : a systematic review. PLoS One. 2014;9:1–16.

    Google Scholar 

  13. Vig KWL, Turvey TA, Fonseca RJ. Orthodontic and surgical considerations in bone grafting in the cleft maxilla and palate. In: Turvey TA, Vig KWL, Fonseca RJ, editors. Facial clefts and craniosynostosis: principles of management. Philadelphia: WB Saunders; 1996. p. 396.

    Google Scholar 

  14. Eppley B. Alveolar cleft bone grafting (part 1): primary bone grafting. J Oral Maxillofac Surg. 1996;54:74–82.

    CAS  PubMed  Google Scholar 

  15. Rosenstein SW. Early bone grafting of alveolar cleft deformities. J Oral Maxillofac Surg. 2003;61:1078–81.

    PubMed  Google Scholar 

  16. Kwon JK, Waite DE, Stickel FR, Chisholm T. The management of alveolar cleft defects. J Am Dent Assoc. 1981;102:848–53.

    CAS  PubMed  Google Scholar 

  17. Robertson NRE, Jolleys A. An 11-year follow-up of the effects of early bone grafting in infants born with complete clefts of the lip and palate. Br J Plast Surg. 1983;36:438–43.

    CAS  PubMed  Google Scholar 

  18. Helms JA, Speidel M, Denis KL. Effect of timing on long-term clinical success of alveolar cleft bone grafts. Am J Orthod Dentofac Orthop. 1987;92:232–40.

    CAS  Google Scholar 

  19. Brattstrom V, McWilliam J. The influence of bone grafting age on dental abnormalities and alveolar bone height in patients with unilateral cleft lip and palate. Eur J Orthod. 1989;11:351–8.

    CAS  PubMed  Google Scholar 

  20. Daskalogiannakis J, Ross RB. Effect of alveolar bone grafting in the mixed dentition on maxillary growth in complete unilateral cleft lip and palate patients. Cleft Palate Craniofac J. 1997;34:455–8.

    CAS  PubMed  Google Scholar 

  21. Witsenburg B. The reconstruction of anterior residual bone defects in patients with cleft lip, alveolus and palate: a review. J Maxillofac Surg. 1985;13:197–208.

    CAS  PubMed  Google Scholar 

  22. Dempf R, Teltzrow T, Kramer FJ, Hausamen JE. Alveolar bone grafting in patients with complete clefts: a comparative study between secondary and tertiary bone grafting. Cleft Palate Craniofac J. 2002;39:18–25.

    PubMed  Google Scholar 

  23. Boyne PJ, Sands NR. Combined orthodontics-surgical management of residual palato-alveolar cleft defects. Am J Orthod. 1976;70:20–37.

    CAS  PubMed  Google Scholar 

  24. Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg. 1972;30:87–92.

    CAS  PubMed  Google Scholar 

  25. Abyholm RE, Bergland E, Semb G. Secondary bone grafting of alveolar clefts. Scand J Plast Reconstr Surg. 1981;15:127–40.

    CAS  PubMed  Google Scholar 

  26. Broude D, Waite DE. Secondary closure of alveolar defects. Oral Surg. 1974;37:829.

    CAS  PubMed  Google Scholar 

  27. Hall HD, Posnick JC. Early results of secondary bone grafts in 106 alveolar clefts. J Oral Maxillofac Surg. 1983;41:289–94.

    CAS  PubMed  Google Scholar 

  28. Turvey TA, Vig K, Moriarty J. Delayed bone grafting in the cleft maxilla and palate: a multidisciplinary analysis. Am J Orthod. 1984;86:244–56.

    CAS  PubMed  Google Scholar 

  29. Yi-Lin J, James DR, Mars M. Bilateral alveolar bone grafting: a report of 55 consecutively treated patients. Eur J Orthod. 1998;20:299–307.

    Google Scholar 

  30. Boyne PJ. Bone grafting in the osseous reconstruction of alveolar and palatal clefts. Oral Maxillofac Clin North Am. 1991;3:589–97.

    Google Scholar 

  31. Hall HD, Werther JR. Conventional alveolar cleft bone grafting. Oral Maxillofac Clin North Am. 1991;3:609–16.

    Google Scholar 

  32. Suzuki A, Watanabe M, Nakano M, Takahama Y. Maxillary lateral incisors of subjects with cleft lip and or palate: part 2. Cleft Palate Craniofac J. 1992;29:380–4.

    CAS  PubMed  Google Scholar 

  33. Kearns G, Perrott DH, Sharma A, et al. Placement of endosseous implants in grafted alveolar clefts. Cleft Palate Craniofac J. 1997;34:520–5.

    CAS  PubMed  Google Scholar 

  34. Vig KWL. Alveolar bone grafts: the surgical/orthodontic management of the cleft maxilla. Ann Acad Med Singap. 1999;28:721–7.

    CAS  PubMed  Google Scholar 

  35. Enemark H, Sindet-Pedersen S, Bundgaard M. Long-term results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg. 1987;45:913–8.

    CAS  PubMed  Google Scholar 

  36. Paulin G, Astrand P, Rosenquist JB, Bartholdson L. Intermediate bone grafting of alveolar clefts. J Craniomaxillofac Surg. 1988;16:2–7.

    CAS  PubMed  Google Scholar 

  37. Ochs MW. Alveolar cleft bone grafting (part 2): secondary bone grafting. J Oral Maxillofac Surg. 1996;54:83–8.

    CAS  PubMed  Google Scholar 

  38. Crockford DA, Converse JM. The ilium as a source of bone grafts in children. Plast Reconstr Surg. 1972;50:270–4.

    CAS  PubMed  Google Scholar 

  39. Larsen PE. Sources of autogenous bone grafts in pediatric patients. Oral Maxillofac Clin North Am. 1994;6:137–52.

    Google Scholar 

  40. Rudman RA. Prospective evaluation of morbidity associated with iliac crest harvest for alveolar cleft grafting. J Oral Maxillofac Surg. 1997;55:219–23.

    CAS  PubMed  Google Scholar 

  41. Wolfe SA, Kawamoto HK. Taking the iliac bone graft. J Bone Joint Surg. 1978;60:411.

    CAS  PubMed  Google Scholar 

  42. Harsha BC, Turvey TA, Powers SK. Use of autogenous cranial bone grafts in maxillofacial surgery. J Oral Maxillofac Surg. 1986;44:11–5.

    CAS  PubMed  Google Scholar 

  43. Turvey TA. Donor site for alveolar cleft bone grafts (letter). J Oral Maxillofac Surg. 1997;45:834.

    Google Scholar 

  44. Jackson IT, Helden G, Marx R. Skull bone grafts in maxillofacial and craniofacial surgery. J Oral Maxillofac Surg. 1986;44:949–56.

    CAS  PubMed  Google Scholar 

  45. Kortebein MJ, Nelson CL, Sadove MA. Retrospective analysis of 135 secondary alveolar cleft grafts using iliac or calvarial bone. J Oral Maxillofac Surg. 1991;49:493–8.

    CAS  PubMed  Google Scholar 

  46. Sadove MA, Nelson CL, Epply BL, Nguyen B. An evaluation of calvarial and iliac donor sites in alveolar cleft grafting. Cleft Palate Craniofac J. 1990;27:225–9.

    CAS  Google Scholar 

  47. Maxson BB, Baxter SD, Vig KWL, Fonseca RJ. Allogeneic bone for secondary alveolar cleft osteoplasty. J Oral Maxillofac Surg. 1990;48:933–41.

    CAS  PubMed  Google Scholar 

  48. Marx RE, Miller RI, Ehler WJ, et al. A comparison of particulate allogeneic and particulate autogenous bone grafts into maxillary alveolar clefts in dogs. J Oral Maxillofac Surg. 1984;42:3–9.

    CAS  PubMed  Google Scholar 

  49. da Rosa WLO, da Silva TM, Galarca AD, Piva E, da Silva AF. Efficacy of rhBMP-2 in cleft lip and palate defects : systematic review and meta-analysis. Calcif Tissue Int. 2019;1-4:115–29.

    Google Scholar 

  50. Vig KWL, D’orth RCS, Turvey TA. Orthodonticsurgical interaction in the management of cleft lip and palate. Clin Plast Surg. 1985;12:735–48.

    CAS  PubMed  Google Scholar 

  51. Aurouze C, Moller KT, Bevis RR, et al. The presurgical status of the alveolar cleft and success of secondary bone grafting. Cleft Palate Craniofac J. 2000;37:179–84.

    CAS  PubMed  Google Scholar 

  52. Larsen PE, Myers G, Beck MF. Morbidity of alveolar cleft grafting in the early mixed dentition (<8 years). J Oral Maxillofac Surg. 1997;55(Suppl 3):127.

    Google Scholar 

  53. Eldeeb M, Messer LB, Lehnert MW, et al. Canine eruption into grafted bone in maxillary alveolar cleft defects. Cleft Palate J. 1988;19:9–16.

    Google Scholar 

  54. Enemark H, Sindet-Pedersen S, Bundgaard M, Simonsen EK. Combined orthodontic-surgical treatment of alveolar clefts. Ann Plast Surg. 1988;21:127–33.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kelly Kennedy .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kennedy, K., Larsen, P.E. (2022). Alveolar Cleft Reconstruction. In: Miloro, M., Ghali, G.E., Larsen, P.E., Waite, P. (eds) Peterson’s Principles of Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-91920-7_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-91920-7_47

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-91919-1

  • Online ISBN: 978-3-030-91920-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation